| NPI | 1295065985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH8789) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH8789) |
| 101Y00000X Counselor (Licence: FL MH8789) | |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2015-06-07 |